P08-12 Equity review of the relationship between the physical environment and physical activity

Abstract Background The impact of the physical environment on physical activity is not equal for all citizens. According to the socioecological theory, moderators of the association can for example be income, education, age, ethnicity and gender. These moderating conditions are important for practice in order to plan and initiate the best solutions for different population groups. Methods Based on a systematic review process 1464 studies were screened. After title, abstract and full text reading 41 studies remained and constitute the basis for this presentation. Results Citizens with different sociodemographic backgrounds are often geographically divided within cities. Looking at the overall characteristics of urban areas, studies show that citizens with lower incomes and shorter education often live in areas with higher population density and generally shorter distances to daily destinations. Conversely, citizens with higher incomes and longer education often have better access to trails, sidewalks and sports facilities. Several of the included studies find that access to facilities is inferior for low-income citizens, but other studies indicate that social and personal factors also play a role in the use of the areas. Adding to this, some evidence possits a lower adoption of for example new bike trails for citizens with shorter education. This leads many of the studies to recommend holistic efforts where improvements in the built environment are initiated simultaneously with other types of efforts that strengthen information, skills and motivation for physical activity. For example, combine cheaper or free access to sports facilities or gyms with marketing and beginners' courses. Another important finding from the equity review is a focus on safety from crime and traffic, which more often is a problem in low income areas, and at the same time a larger perceived barrier for women and elderly people. Conclusion The interplay between sociodemographic characteristic and the physical environment is complex, but the review points to some important findings.


Background
The impact of the physical environment on physical activity is not equal for all citizens. According to the socioecological theory, moderators of the association can for example be income, education, age, ethnicity and gender. These moderating conditions are important for practice in order to plan and initiate the best solutions for different population groups. Methods Based on a systematic review process 1464 studies were screened. After title, abstract and full text reading 41 studies remained and constitute the basis for this presentation.

Results
Citizens with different sociodemographic backgrounds are often geographically divided within cities. Looking at the overall characteristics of urban areas, studies show that citizens with lower incomes and shorter education often live in areas with higher population density and generally shorter distances to daily destinations. Conversely, citizens with higher incomes and longer education often have better access to trails, sidewalks and sports facilities. Several of the included studies find that access to facilities is inferior for low-income citizens, but other studies indicate that social and personal factors also play a role in the use of the areas. Adding to this, some evidence possits a lower adoption of for example new bike trails for citizens with shorter education. This leads many of the studies to recommend holistic efforts where improvements in the built environment are initiated simultaneously with other types of efforts that strengthen information, skills and motivation for physical activity. For example, combine cheaper or free access to sports facilities or gyms with marketing and beginners' courses. Another important finding from the equity review is a focus on safety from crime and traffic, which more often is a problem in low income areas, and at the same time a larger perceived barrier for women and elderly people.

Conclusion
The interplay between sociodemographic characteristic and the physical environment is complex, but the review points to some important findings. Keywords: review, sociodemographic, moderators, population, cities Abstract citation ID: ckac095.126 P08-13 Physical activity increases social inclusion Marina Steffansson 1 , Tuula Pehkonen-Elmi 1 1 Diaconia University of Applied Sciences, Pieksä mä ki, Finland Corresponding author: tuula.pehkonen-elmi@diak.fi Background Studies show that exercise improves self-esteem and improved self-esteem strengthens inclusion and prevents marginalization. Young people who have only completed primary school may incur additional costs of up to 370 000 euros for public administration over their lifetime, compared to those who educate themselves. In Pieksämäki, a physical activity intervention was developed for physically inactive young people not in education, employment or training (NEET) and it aims to improve their activity and thereby their social inclusion. The aim of the study was to evaluate the outcomes and the cost of the intervention.

Methods
The physical activity intervention includes a personal physical exercise plan, individual instruction and free access to the swimming hall and gym during the participation. Each participant gets as much guidance as they need. We present results only for three cases, because the target group was very challenging. The follow-up period was 12 months.

Results
To evaluate the outcomes we used three subjective measures, 3X10D Õ (survey-self-evaluation tool), the Abilitator Õ , and 15D (HRQoL, the health-related quality of life instrument). The 3X10D Õ showed that life as a whole and self-esteem improved in two cases. In all three cases managing in daily activities improved. However, the Abilitator Õ showed slight improvement in wellbeing and clear improvement in physical functioning in all three cases. We obtained 15D results only from two cases. In one case HRQoL decreased slightly and in the other one it increased significantly. The employment status of these three cases changed. In the beginning there was an unemployed person, a person having only 9-year basic education and a drop-out from vocational education. After the intervention the unemployed person was working, and the other two were studying. Depending on the number of visits to the physical exercise instructor and other physical activities the costs of the intervention varied between 1042 and 1215 euros.

Conclusions
Based on the results physical functioning and self-esteem improved and that can lead to stronger social inclusion.
Abstract citation ID: ckac095.127 P08-14 The association of childhood commuting modes and physical activity in adult age

Background
Physically active lifestyle prevents and contributes to managing non-communicable diseases. Childhood physical activities have shown to associate with physically active lifestyle in adulthood. More research on which childhood physical activity modes associate with physical activity in later life is still needed. Within the present study, we examined how physically active commuting to school in childhood contributed to overall physical activity in adulhood.

Methods
The participants (N = 3596) were from the population-based, longitudinal Cardiovascular Risks in Young Finns Study. Questionnaires were used in assessing subjects ' childhood (1980) and adulthood (2001-2018) physical activity. ActiGraph accelerometers were also applied in the adulthood measurements (2018-2020). The results were analyzed using logistic and linear regression models. Participants' age, sex, parents' educational background, parents' income level, childhood living area, participants' educational background, adulthood income level, and adulthood living area were adjusted for in the models.